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Professional Summary
Analytical Legal Assistant adept in legal research and documentation.
Skills
  • Works well under pressure
Work History
Legal Assistant 09/2016 to Current
 The National Freedom Project – New York, NY

Investigated facts and law of cases, using pertinent sources to determine causes of action and to prepare cases.  Managed accounts and records of clients with the highest levels of confidentiality and discretion.  Developed a working  relationship  with courts, clients, debtors and attorneys.  Contacted clients to  schedule appointments   and discuss the progress of cases.  Acted as first point of contact for all clients.
*  Trainer of new Legal Assistants
*  Restructured collection of documents 
Bankruptcy Litigation Assistant 08/2016 to 06/2017
 Volks Anwalt – Jacksonville, Florida

Prepared bankruptcy files for attorney services.  Initial review of documents.   Investigation and due diligence for senior paralegal specialist on all documents received.  Advised clients on the status of their case. Trained new hires in various departments.  
Administrative Assistant 09/2006 to 01/2015
 US Hearing Center and Southeastern Hearing dba Miracle Ear – Orange Park
Supervised 15 patient care coordinators.  Managed the reception area;  greeted visitors by phone and in person.  Managed a high volume of incoming and outgoing correspondence.  Designed electronic filing systems and maintain electronic and paper files.    Point of contact for all vendors.
  • Planned and executed all aspects of office move
  • Consistently exceeded goals resulting in bonuses
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Professional Summary

Emergency Medicine Physician and Associate Director of Emergency Medicine boarded by the ABFM.  Have over 30 years experience in medicine in diverse positions - Registered Nurse and Adult Nurse Practitioner specializing in critical care and emergency medicine, Healthcare Law Attorney. Have MBA from the University of Notre Dame du Lac

Licenses

Pennsylvania Medical Doctor and Surgeon - MD 454003 Exp. 2018

Pennsylvania DEA 

United States Medical Licensing Examination (USMLE)

Successfully Passed Steps 1,2 CK, 2 CS, 3 on initial attempts

American Board of Family Medication - Exp 12/2024

ATLS, ACLS, BLS, PALS
Skill Highlights
  • Symptom palliation comprehension
  • Good bedside manner
  • Family practice professional
  • Qualified patient educator
  • Strategic planning expertise
  • Quality assurance awareness
  • Decision-making under pressure
  • Business-minded practice
  • Honest medical professional
  • Courageous
  • Professional demeanor
  • Thorough examinations
  • High ethical standards
  • Extensive infectious disease knowledge
  • Practice-based learning
  • Level-headed
  • Inquisitive
  • Professional demeanor
  • Empathetic and courteous
Professional Experience
UAHS Associate Director of Emergency Medicine 11/2017 to Current Keystone Healthcare Management Responsible for the Medical Management  of Bradford Regional Medical Center including direct supervision and peer review of physicians and APPs as well all other administrative functions. Also work clinically in the Emergency Department
Emergency Medicine Attending Physician,Associate Director of Emergency Medicine 01/2014 to Current EMCARE Dallas, Texas
Credentialed at 4 rural community hospitals. Responsible for Emergency Department patients with single coverage physician coverage and APCs. 
 
Associate Director of Emergency Medicine for Lehigh Valley Schuylkill - North and East Campuses. Assist the Director with administrative duties of the Emergency Department. Active in all required meetings, data compilation, throughput,patient complaints,supervision of APCs as well as quality issues.
  
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Family Practice Resident 01/2012 to 12/2014 Western Reserve Health Education Youngstown, OH
Registered Nurse 06/2010 to 01/2012 Allied Medical Resources Allentown, PA

Employed as an Agency Travel Nurse

Assignments were mostly in Emergency Departments throughout Pennsylvania

Also accepted assignments in Open Heart Recovery, Critical Care and House Supervision as well as Case Management
Registered Nurse Urgent Care 10/2009 to 01/2012 Trumbull Mahoning Medial Group Cortland, Ohio

Maintained accurate medical records and documented patient case history in detail.

Responsible for overseeing Medical Assistants.

Responsible for dispensing and administering medications.

Performed duties required of R.N. in a Urgent Care settinResponsible for facilitating transfers

Very proficient with intravenous insertion

Responsible for guiding many moonlighting residents that came through the facility

Registered Nurse 08/2007 to 06/2010 Cambridge Medical Staffing Macungie, PA

Employed as an Agency Travel Nurse on assignments at various Emergency Departments. Critical Care Units, Open Heart Recovery Units throughout Pennsylvania.

Also did House Supervision.
Emergency Services Nursing Director 01/2006 to 09/2006 Easton Hospital Easton, PA

Responsible for overseeing daily operations in medium volume city hospital with numerous staffing issues

Responsible for staffing as well as overseeing nursing and ancillary services, budgeting, evaluations.
Attorney at Law 01/2000 to 01/2006 Law Offices of Toni Marcheskie Warren, OH

Self employed attorney

General practice of Law
Magistrate 03/1994 to 06/1997 Trumbull County Family Court Warren, OH

Family Practice Magistrate responsible for hearing evidence on divorce and custody matters as well as juvenile proceedings and issuing decisions.
Adult Nurse Practitioner 08/1989 to 01/1996 Warren General Hospital Warren, OH

Employed as a part Time Nurse Practitioner while attending LAw school in the Emergency Department and in the Ambulatory Surgical Area
Adult Nurse Practitioner 03/1984 to 12/1989 St Joseph Riverside Hospital Warren, OH

Initially employed as a Registered Nurse in the ICU for one year.

Remainder of employment was as Adult Nurse Practitioner.
CVICU Registered Nurse Western Reserve Care System Youngstown, OH
Associate Attorney Keating Keating and Kuzman Warren, OH

Associate Attorney in General Law Practice

Major emphasis on Medical Malpractice Defense and Hospital Administrative Law
Education and Training
MBA: Business 2017 University of Notre Dame du Lac South Bend, IN, USA
M.D.: Medicine 2010 University of Health Sciences Antigua St Johns, Antigua
J.D.: Law 1991 University of Akron School of Law Akron, OH, USA
Family Medicine 2014 Western Reserve Graduate Medicate Education Youngstown, OH, USA

Graduate of Family Medicine Residency

Strong emphasis and electives in Emergency Medicine

Completed Emergency Intensive Boot Camp in December 2012

ATLS certified

ACLS Certified

PALS certified

Attending Difficult Airway Class

Bachelor of Science: Nursing 1987 Penn State University University Park, PA, USA
Certificate: Adult Nurse Practitioner 1987 St Joseph Hospital Warren, Ohio, USA

Completed Adult Nurse Practitioner Program

Sat for and passes boards
Associate of Science: Nursing 1983 Youngstown State University Youngstown, OH, USA
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Professional Summary

Dedicated high-performing, strategic thinking, results driven Case Manager with 8 years experience in fast paced high volume environments. Highly qualified at in-depth case management, training and development as well as organization and leadership of teams. Specialist in management information systems; Exceptional writing and  presenting skills. Proven track record of implementing effective collaborative and innovative measures to maximize optimal solutions .
 

Accomplishments
  • Streamlined the SSDI Claims process resulting in a 30% increase in work efficiency, increasing the volume of inbound and outbound calls handled
  • Developed and implemented training methods which resulted in a 15% increase in work production across the department
  • Identified key metrics used in analyzing claims which led to an overall company average approval rating 10% above the national average

 

Core Qualifications
  • Proficient in CRM, SAP, and SalesForce
  • Proficient in Microsoft office suite  
  • Notary Public
  • Staff training and development
  • HIPAA compliance
  • Organizational skills
  • Detail oriented
  • Strong analytic and critical thinking skills
  • Relationship and Team building
  • Effectively influences others
  • Effective time management/prioritization skills
  • Ability to manage immediate needs while overseeing long term projects
  • Strong interpersonal skills
  • Exceptional managerial and supervisor skills
Experience
Progressive Milford, CT Claims Adjuster 07/2018 to 02/2019
  • Complete required investigations on referred files in a timely manner.
  • Identify and collected evidence and determined its value to a specific claim.
  • Adhere to company and insurance client's guidelines in claims processes and claim closures.
  • Serve as subject matter expert in Coverage and Liability
  • Analyze first reports of loss and underlying file material to determine if a claim was suspect.
  • Review data to verify the validity of claims.
  • Investigate any potentially fraudulent claims with a focus on thoroughness, quality and cost control.
  • Draft statements of loss to summarize damages, payments and underlying policy coverage.
  • Conducted interviews and gathers detailed information 
Carter Mario Injury Lawyers North Haven, CT Pre litigation Case Manager 02/2017 to Current
  • Prepares correspondence, accounting and financial documents for analysis
  • Prepares contracts and  routine legal correspondence including letters of representation, letters of protection, preservation of evidence, settlement statements and demand package
  • Reviews and evaluates medical records, individual plans, case notes and documents Identify loss of life's activities, medical findings and causation to add to case value
  • Manages high value cases
  • Liaison between local courts, insurance agents , medical providers, employers, TPA and law enforcement agencies, medical billing companies and more
  • Collaborative investigative work including background searches, asset searches and person searches
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Advocator Group Wakefield, MA Remote Client Advocate: Hearings' Team 05/2015 to 02/2017
  • Monitored multiple databases to keep client file up to date and ensure timely claim processing
  • Identified opportunities for expedited processing resulting in significantly faster approvals 
  • Implemented automation activities creating a pathway for more efficient work as well as more in-depth case assessment
  • Ensured successful completion and cure of any deficiencies within case related documentation
Freedom Disability- Social Security Disability Experts Shelton, CT Advocate Specialist Supervisor/Team Lead 10/2012 to 04/2015
  • Promoted from previous position
  • Provided ongoing training and coaching sessions to enhance skills of team members
  • Conducted analysis to address relevant key performance indicators which led to an overall 10% increase in approval ratings
  • Successfully led key projects which resulted in streamlining department processes leading to a 30% increase in work efficiency
  • Planned and executed weekly staff meetings identifying any obstacles and related solutions for target goals
  • Collaborated with senior management to create and implement a quality assurance program leading to higher client satisfaction surveys
  • Identified, interviewed and on boarded qualified talent
Freedom Disability Shelton, CT Eligibility Screener /Advocate Specialist 02/2011 to 09/2012
  • In -depth case management of up to 175  Social Security Disability applicants
  • Assessed potential clients for qualifications of services
  • Effectively controlled the release of medical and confidential information for clients
  • Acted as liaison between claimants and government agencies
  • Analyzed, filed and maintained client record in compliance with HIPAA regulations 
  • Prepared program and role specific help documentation, including visual aids, and reference guides
  • Remote (Home Office) Employee – 5/11 to 5/2012
Education and Training
Master of Science: Management and Organizational Leadership 2017 Albertus Magnus College, New Haven, CT
Bachelor of Science: Business Healthcare Management 2015 Albertus Magnus College, New Haven, CT
This resume is created in 7 minutes.
Summary
Talented and experienced law professional with a strong background in compliance and leadership of several teams. Desires a challenging role in the compliance field.
Skills
  • ADR
  • Agency
  • Law
  • Billing
  • Due diligence
  • Expense reports
  • Litigation
  • Mergers and Acquisitions
  • Social Services
  • Trainer
  • Business development
  • Conferences
  • Contracts
  • Council
  • Documentation
  • Inspection
  • Human Resources
  • Negotiation
  • Risk Assessment 
  • Transportation
Experience
Director of Compliance Feb 2018 to Current
 Intrepid USA － Dallas, Texas

Successfully managing ten clinicians and one regulatory employee.

Responsible for pre-survey audits, ACHC accreditation preparation and ADR responses.

Creatively created and continue to oversight compliance and clinical education as well as annual training.

Responsible for risk, regulatory and Medical Director contracting.

HIPAA privacy officer.
Director of Compliance Jul 2007 to Oct 2017
 Amedisys, Inc

In charge of contracting and overseeing 657 Medical Director contracts to ensure compliance with applicable safe harbours to Stark Law and Federal Anti-Kickback Statute (2007 - 2010).

Successfully mediated EEOC complaints nationwide including document preparation and negotiation (2007 - 2010).

Timely assisted in the development of online contract submission processes and development of web-based maintenance system for physician contracts as a key control for the Company's compliance program.

Assisted in the assessment and handling of compliance as well as human resource issues and complaints within daily compliance functions.
In charge of conducting risk evaluation and mitigation functions with respect to the Company's business development activities, to include but not be limited to review of expense reports by agency leadership and the Company's sales force, Medical Director contracting and payments, compliance training, and basic background checks and exclusion list checks consistent with the Company's compliance with its 2014 Corporate Integrity Agreement with the Office of the Inspector General.
Assisted in the resolution of issues arising from complaints made to the Company's confidential Compliance Hotline.
Interacted daily with operational management, clinical and back-office support employees, corporate office staff, in-house counsel, outside counsel, and consultants with respect to specific compliance issues and risk reduction activities.
Performed as a trainer for employees on numerous topics including Medical Director billing requirements, contracting requirements, and proper expense reporting.
Handled several Mergers and Acquisittotallingaling $132,000,000 which specifically included my review of compliance-related due diligence, interaction with the Company's internal M & A team, as well as prospective sellers and in-house and external lawyers.
Involved in crafting memorandum and risk assessment documentation as needed to facilitate consummation of transactions or termination of potential deals, as circumstances warrant.
I served as a member of the Diversity Council (2009 – 2017) Committee that actively fosters diversity and inclusion throughout the organization through education/training.
Jan 2006 to Jan 2007
 Disciplinary Counsel of the Bar Prosecutor

Served as a Disciplinary Counsel of the Bar Prosecutor Worked in Conjunction with the Louisiana Supreme Court as Prosecutor in cases where Attorney/Bar Applicants had issues potentially affecting their admission to the state bar, which required investigation, mitigation and an adjudicative hearing prior to the candidate's admission or denial to the State Bar.
Legal Coordinator Jan 2002 to Jan 2006
 Louisiana District Attorneys Association

Louisiana Foundation Against Sexual Assault Liaison between District Attorneys and Department of Social Services and Support Enforcement Services regarding child support matters.

The job required concentration on contracts, guidelines, policy, funding, and legislation.

Responsible for creating semi-annual training conferences for lawyers.

Involved in memberships on committees related to Child Support with various State Agencies.

Successfully acted as legal representative for LaFASA, responsible for counsel, contracts and creating training conferences for various disciplines.

Served on numerous Boards and Committees.

Fundraising.
Settlement Agreement Jan 2000 to Jan 2002
 State of Lousiana

Successfully served as a prosecutor within the Criminal Division 1) and was designated as the agency's Sex Crimes Special Prosecutor with statewide criminal prosecution jurisdiction.

Performed as an attorney within the Risk Litigation Division's Road Hazard Division, in which I was responsible for the defence of the State's Department of Transportation and Development.
Assistant Attorney General Jan 1994 to Jan 2002
 Office of the Attorney General
Director of the Tobacco Division and the Civil Litigation Division group overseeing enforcement of the nation's Master Tobacco Settlement Agreement (2000-2002) on behalf of the State of Louisiana.
Successfully acted as a prosecutor within the Criminal Division (1995–2000) and was designated as the agency's Sex Crimes Special Prosecutor with statewide criminal prosecution jurisdiction.
Performed as an attorney within the Risk Litigation Division's Road Hazard Division, in which I was responsible for the defence of the State's Department of Transportation and Development.
Education and Training
J.D Tulane Law School － New Orleans, Louisiana
Bachelor of Arts, Graphic Design Louisiana State University － Baton Rouge, Louisiana Graphic Design
Certified in Health Care Compliance by the Compliance Certification Board
Interests
Board Member Baton Rouge CASA (2012 - 2013)
CASA Volunteer (1)
Auxiliary Board Member Baton Rouge Ballet Theater (2009 - 2013)
Additional Information
*References upon request.

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